Posttraumatic Stress Disorder and Community Collective Efficacy
نویسندگان
چکیده
There is a paucity of research investigating the relationship of community-level characteristics such as collective efficacy and posttraumatic stress following disasters. We examine the association of collective efficacy with probable posttraumatic stress disorder and posttraumatic stress disorder symptom severity in Florida public health workers (n = 2249) exposed to the 2004 hurricane season using a multilevel approach. Anonymous questionnaires were distributed electronically to all Florida Department of Health personnel nine months after the 2004 hurricane season. The collected data were used to assess posttraumatic stress disorder and collective efficacy measured at both the individual and zip code levels. The majority of participants were female (80.42%), and ages ranged from 20 to 78 years (median = 49 years); 73.91% were European American, 13.25% were African American, and 8.65% were Hispanic. Using multi-level analysis, our data indicate that higher community-level and individual-level collective efficacy were associated with a lower likelihood of having posttraumatic stress disorder (OR = 0.93, CI = 0.88–0.98; and OR = 0.94, CI = 0.92–0.97, respectively), even after adjusting for individual sociodemographic variables, community socioeconomic characteristic variables, individual injury/damage, and community storm damage. Higher levels of community-level collective efficacy and individual-level collective efficacy were also associated with significantly lower posttraumatic stress disorder symptom severity (b =20.22, p,0.01; and b =20.17, p,0.01, respectively), after adjusting for the same covariates. Lower rates of posttraumatic stress disorder are associated with communities with higher collective efficacy. Programs enhancing community collective efficacy may be an important part of prevention practices and possibly lead to a reduction in the rate of posttraumatic stress disorder post-disaster. Citation: Ursano RJ, McKibben JBA, Reissman DB, Liu X, Wang L, et al. (2014) Posttraumatic Stress Disorder and Community Collective Efficacy following the 2004 Florida Hurricanes. PLoS ONE 9(2): e88467. doi:10.1371/journal.pone.0088467 Editor: Sharon Dekel, Harvard Medical School, United States of America Received August 21, 2013; Accepted January 7, 2014; Published February 11, 2014 This is an open-access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication. Funding: This study was supported by funds from the Centers for Disease Control and Prevention. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript. Competing Interests: The authors have declared that no competing interests exist. * E-mail: [email protected]
منابع مشابه
Posttraumatic Stress Disorder and Community Collective Efficacy following the 2004 Florida Hurricanes
There is a paucity of research investigating the relationship of community-level characteristics such as collective efficacy and posttraumatic stress following disasters. We examine the association of collective efficacy with probable posttraumatic stress disorder and posttraumatic stress disorder symptom severity in Florida public health workers (n = 2249) exposed to the 2004 hurricane season ...
متن کاملEffectiveness of Compassion Therapy on Symptoms of Posttraumatic Stress Disorder
Background: Post-Traumatic Stress Disorder is one of the most prevalent post traumatic events. The purpose of this study was to determine the efficacy of compassion therapy in improving the symptoms of post-traumatic stress disorder. Methods: The study population consisted of war veterans with post-traumatic stress disorder referring to Ebnesina Hospital in Mashhad, Iran. 30 individuals of the ...
متن کاملبررسی فاکتورهای خطر قلبی عروقی و سندروم متابولیک در جانبازان جنگ با بیماری استرس مزمن ناشی از تروما و گروه شاهد آنها در استان زنجان سال 91-1390
Background and Objective: It seems that war veterans are at increased risk of cardiovascular diseases due to their existing disabilities and special mental and psychological conditions. This study was performed to evaluate the risk of cardiovascular disease and the prevalence of metabolic syndrome among Iran-Iraq war veterans living in Zanjan in 2011. Materials and Methods: 360 men including 12...
متن کاملAnalyzing the Structural Relationships of Professional Learning Community and Teachers' Commitment with Mediator Role of Collective Efficacy
This study aimed to analysis structural relationships of professional learning community and teacher commitment with mediator role of collective efficacy. In order to do so, 323 Elementary teachers of Jiroft city were chosen as the research sample through cluster sampling. Required data regarding the variables of research were collected using the questionnaire of school professional learning com...
متن کاملThe Effectiveness of Neurofeedback Training on Reducing Symptoms of War Veterans with Posttraumatic Stress Disorder
Objective: Current study aimed to determine the effectiveness of neurofeedback training on decreasing posttraumatic stress disorder (PTSD) in veterans. Methods: The present study is an experimental research with pretest, posttest, and control group design. Patients with PTSD were randomly selected by purposive sampling method and assigned in experimental (15 persons) and con...
متن کامل